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OFEB
T26 io581 OF CCIPERTINO
Dat '
e ,3 195— Permit No. t q z l
CITY Ai CUPERTINO Fee S
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
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Address
N A�TOR, AGENT' 't S—% SpproveAd' C'r01
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